| NPI | 1073823522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELCEY L. WILLIAMS Owner/Rendering Provider 512-363-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L7926) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2011-05-05 |